This has been a year like no other and HFAP Academy Live 2020 will be held in a virtual format to increase accessibility and enhance safety of the event for all participants.

Our theme this year is Emergency Preparedness and Quality: Lessons Learned in a Pandemic and our daily keynotes will address maintaining self-care and focus in times of uncertainty.

As in years past, we will offer sessions focused on accreditation as it relates to ASCs, to hospital administrative and clinical practice, and to healthcare facilities management. Unlike years past, participants will not have to choose their track because all sessions will be available to registrants through August 2021. This means as the event goes live, you can choose the session in each time slot from which real-time interaction will benefit you most and then go back and view (or review), other topics of interest.

There will be Q&A for each presentation-based session, plus topic-focused and moderated chat rooms, as well as opportunities for you to schedule one-to-one video chats with speakers and other registrants.

Early bird registration discounts are available through October 2. After that date, you will still be able to register at the regular rate. Discounts also apply for multiple registrants from the same organization.

AGENDA

Wednesday, November 4

9:00 – 9:15 am CT
9:15 – 10:10 am CT

For individuals and organizations new to HFAP, this session offers an overview of HFAP Compass, Standards Interpretation, and what to expect before, during, and after your survey.
Best for: All settings

Long, long ago, in a time before COVID-19, CMS released Burden Reduction changes to the Conditions of Participation that resulted in revisions to HFAP standards. This session, and part 2, walk you through those changes.
Best for: Hospitals & CAHs

10:15 – 11:10 am CT

What has changed in the ASC Conditions for Coverage since HFAP Academy last year? This session walks you through the “Burden Reduction” changes that became effective for HFAP surveys in June 2020.
Best for: ASCs

Changes to the infection prevention CoP and the addition of a new Condition for antibiotic stewardship led to a complete reorganization of HFAP’s Chapter 7 for hospitals and a brand new Chapter (18) for CAHs. Yes, it’s a lot to absorb and this session will help you keep your hospital compliant.
Best for: Hospitals & CAHs

Discuss how CMS affects survey processes. Gain insight into HFAP expectations so that your survey goes smoother and your time is used efficiently. Tiers of survey findings and POC issues will be addressed.
Best for: Facilities management

12:10 – 1:05 pm CT

Jan Marie Anderson, EdD, MSN, RN, AHN-BC, Caritas Coach, will share thoughts on self-care through the lens of Caring Science. Her knowledge and implementation of caring science in nursing curriculum and clinical practice make Jan uniquely qualified to share individual and collective accomplishments of Caritas Coaches around the world to inspire and embrace caring science as a path towards a more biogenic future for all of us.

Jan is the director of the Caritas Coach Education Program (CCEP) for the Watson Caring Science Institute (WCSI). Jan completed the University of Colorado International Certificate Program in Caring and Healing, the Caritas Coach Education Program as one of the first graduates, and her doctorate in nursing education with a focus on caring science. She has been honored to walk alongside those who have been willing to take the caritas journey into wellness, health and healing.

Jan is a board member of the International Association for Human Caring and has been honored to help plan the Annual IAHC conferences. She co-authored Caritas Coaching: A Journey Toward Transpersonal Caring for Informed Moral Action in Healthcare (2018) with Sara Horton-Deutsch, and one chapter in A Handbook for Caring Science, (Caritas Coach: The Future of Health and Well-Being).

1:10 – 1:55 pm CT

Quality improvement is the goal of accreditation. In this session, you’ll review five building blocks of an effective QAPI program designed to be comprehensive and meaningful for your entire organization.
Best for: All settings

Take a deep dive into causal diagrams for root cause analysis (RCA) and failure mode effects analysis (FMEA) as tools for risk management. This extended session is in two parts.
Best for: Hospitals & CAHs

Review how NFPA 99 requirements fit into HFAP standards with an emphasis on surveyors’ expectations.
Best for: Facilities management

2:10 – 2:55 pm CT

Part 2 of this session covers typical challenges to managing and maintaining effective QAPI programs and strategies to overcome them.
Best for: All settings

This deep dive, two-part session continues with strategies for how to prioritize and act on your analysis of failure risk of processes and systems.
Best for: Hospitals & CAHs

Old or new…NFPA 99 applies to you. Understand how NFPA 99 is different than NFPA 101 in how it outlines requirements for existing and new facilities.
Best for: Facilities management

Thursday, November 5

9:00 – 9:55 am CT

What if quality drove decision-making in your organization? What if no new form, process, or initiative could be implemented unless it created demonstrated value? What if front-line staff, clinical leaders and administrators were all aligned in understanding that linking quality, risk management, and patient satisfaction differentiates healthcare facilities that thrive from those that (maybe) merely (and only maybe) survive?

Darlene Bainbridge shares the dual perspective of a former cancer patient and a hospital CEO specializing in turning-around troubled facilities as she explains how the typical cycle of chasing revenue without integrating quality compounds the losses that healthcare creates for itself every day.

Darlene Bainbridge is a nationally-recognized leader in healthcare quality innovation who has worked with dozens of hospitals to improve quality, survey outcomes and patient satisfaction, while disproving the notion that quality is an incidental to how health care makes money and builds success. Her efforts directed at finding ways to manage quality and money like they are two sides of the same coin so the money works better have helped to save clinically- and financially-faltering hospitals and those facing survey-related shutdowns.

10:00 – 10:55 am CT

Avoid the frenzy, frustration, and stress of ramp-up prior to survey but keeping your organization survey ready. This session is a panel discussion addressing committees, coordination of services, rounding and more.
Best for: Hospitals, CAHs
A similar session focused on ASCs is offered on Friday.

A moderated Q&A covering topics from Day 1 and other “burning questions” you may have for an HFAP surveyor.
Best for: All settings

Having a process to verify that you are meeting compliance goals has to be a well-designed and intentional process. Beyond that, it should produce measurable results and include improvement goals. Learn how to use and develop meaningful QAPI techniques and tools. (P.S. This will increase your survey scores!)

Best for: Facilities management

11:00 – 11:55 am CT

Don’t let outpatient locations be out of sight/out of mind. All facilities and locations covered by a hospital’s CCN are subject to accreditation standards. 
Best for: Hospitals, CAHs

With multiple committees come multiple scribes. This session on best practice for meeting minutes will help you maintain excellence in your organization’s documentation which is the basis of compliance for many standards.
Best for: Hospitals & CAHs

Find compliance errors before you even get to a building tour. We’ll review common LS plan flaws and link the code requirements most often missed.
Best for: Facilities management

1:00 – 1:55 pm CT

Our survey Deficiency Report was returned and there were only a few citations. Why is it taking so many revisions to get HFAP to accept our PoC? If only someone would walk me though what they want…You’re welcome.
Best for: Hospitals, CAHs

Utilization review assists in decreasing costs while improving quality. The session will provide a better understanding of its elements.
Best for: Hospitals & CAHs

Through a series of interviews and Q&A, learn how facility emergency responses to the COVID-19 Public Health Emergency (PHE) were organized and what physical issues were addressed.
Best for: Facilities management

2:00 – 2:55 pm CT

Description to come.
Best for: Hospitals, CAHs, ASCs

COVID-19 has shown how critical it can be to effectively cross train staff. This panel discussion presents best practices that you can apply in your own facility.
Best for: Hospitals & CAHs

Review failings and short-sights that occur from a lack of robust Security and Safety assessments, including Ligature Risk and IT Systems from the facility perspective.
Best for: Facilities management

Friday, November 6

9:00 – 9:55 am CT

Even before our annual data analysis, anecdotal evidence starts to highlight trends and recurrent issues. Hear from HFAP Standards Interpretation staff and accredited organizations about what is raising concerns ithis year and ask your questions of an infection preventionist.
Best for: All settings

Which administrative and clinical standards posed the great challenge for organizations surveyed in 2019? This session takes a look at those frequent deficiencies, explains surveyor findings and offers tips to avoid citations in your organization.
Best for: Hospitals & CAHs

Questions about what the changes to HFAP EM Standards really entail? We go through the changes in our Standards and why they are different than CMS requirements.
Best for: Facilities management

10:00 – 10:55 am CT

Cardboard shipping boxes are manufactured, stored, and transported through a wide variety of uncontrolled environments. Disposal of cardboard shipping boxes contributes to maintenance of a sanitary environment. This is an opportunity for cross-functional collaboration between those responsible for facilities management and those responsible for infection control. But let’s talk about balance. This session addresses the development of a practical decision process for containers in a variety of healthcare locations.
Best for: All settings

Which emergency management standards posed the great challenge for organizations surveyed in 2019? This session takes a look at those frequent deficiencies, explains surveyor findings and offers tips to avoid citations in your organization.
Best for: Hospitals, CAHs

We will spend this session learning how to use NFPA 101 and NFPA 99 as resources without having to become a code professional. Basic terms and code processes will be reviewed from the source as well as where to turn when you need a helping hand.
Best for: ASCs

11:05 am CT – 12:25 pm CT

Kathleen Sitzman, PhD, RN, CNE, ANEF, FAAN, Distinguished Watson Caring Science Scholar, will introduce Watson’s Caring Science and share everyday examples of how others express and cultivate caring practices for self and others in a variety of settings. Her extensive teaching and research activities have facilitated an understanding of how to translate caring theory into real-life explorations that illuminate caring possibilities across a broad range of human experience.

Kathy is a nursing professor at East Carolina University. She is co-director of education at the Watson Caring Science Institute and President of the International Association for Human Caring. She has co-authored 5 books, 4 book chapters, and over 120 Peer-reviewed articles published in professional journals. She has been principle investigator or co-investigator on 21 published research studies, most of which were focused on Caring Science or had a significant Caring Science component. Kathy is also the creator and ongoing Instructor/Administrator for the internationally recognized “Caring Science, Mindful Practice” Massive Open Online Course (MOOC) that has been offered twice a year from 2015 to the present. To date, this course has served over 5100 learners from all over the world and has established an enduring international caring community.

1:20 – 2:15 pm CT

Individuals at heightened risk for self-harm are not limited to certain departments of your hospital. This session discusses the practical implications of ensuring a ligature-resistant environment to promote safety throughout your facility.
Best for: Hospitals, CAHs, Facilities Management

Which standards posed the great challenge for ASCs surveyed in 2019? This session takes a look at those frequent deficiencies, explains surveyor findings and offers tips to avoid citations in your organization.
Best for: ASCs

2:20 – 3:15 pm CT

What is best practice for maintaining survey-readiness in an ASC? This session focuses on how to avoid stretching a smaller staff to the breaking point pre-survey by using accreditation to build a culture of continuous quality improvement and teamwork.
Best for: ASCs

As HFAP Academy 2020 comes to its close as a real-time event, this moderated Q&A will cover topics from Days 2 and 3, plus other “burning questions” you may have for an HFAP surveyor.
Best for: All settings

Learn how compliance with “The Guidelines” occurs during survey and review the list of FGI compliance data that you need to have ready before your next survey.
Best for: Facilities management